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Individual
KATIE KYKER
Active
Individual
KATIE KYKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11031
NE
104100000X
Social Worker
2898
NE
104100000X
Social Worker
7111
NE
Other
Enumeration date
10/28/2016
Last updated
12/21/2016
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